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rP <br />r <br />CITY OF EVERETT—Water Dept. <br />Application No.I�.1..'S.. ....... Date ...... .................. 19........ <br />Install ............. ............... Inch water service pipe <br />BlockNo .... _...... ....... _......_._.._.._.. <br />Addition. ...................................... _............................................................ <br />Contractor <br />. ................ Roc. No .... _........ ------ <br />By........ ___........ <br />8operintenden <br />ShopRemarks ..................... .......... ............ .__.._..__ _....___...._.. <br />Work Completed................ .............................. ............................................... <br />. <br />Foreman <br />